CHYLURIA: CASE REPORT AND REVIEW OF LITERATURE
- 1 April 1955
- journal article
- research article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 42 (4) , 931-937
- https://doi.org/10.7326/0003-4819-42-4-931
Abstract
A classical case of filarial chyluria is reported. In this disease the urine is milky or creamy in appearance. Hematuria and pyelonephritis are common. Malnutrition out of proportion to calories lost in the urine is striking. Intermittency is highly characteristic. Hyaluronidase and heparin were tried in the patient reported in an attempt to modify the colloidal and chylomicron suspension of the urine, but without effect. Chyluria is far more common in the type of filariasis seen in southern China, Burma and northern India than that seen in the South Pacific and Japan. Recent studies emphasize the importance of pyelolymphatic backflow in the pathogenesis of chyluria. Oral administration of Sudan III dye is followed in 2 to 4 hours by the appearance of dye-stained chyle in the urine, extractable with ether.Keywords
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